Health services

Tender description

NHS England and NHS Scotland seek bids from providers who have the capability and capacity to deliver gender dysphoria surgical services. Services being procured are chest surgery (trans masculine), genital surgery (trans feminine) and genital surgery (trans masculine). The services will be available to individuals eligible for NHS-funded care who are the commissioning responsibility of the NHS in England, Scotland or Wales — and who meet the eligibility criteria described in the service specification. Successful bidders will hold a single contract with NHS England for services provided to eligible patients who are the commissioning responsibility of NHS England, NHS Scotland and NHS Wales. Contracts will be for an initial term of 5 years with a possible extension of any period up to a further 2 years as defined and at the discretion of the commissioner. Surgeons must be trained in onco-plastic breast surgery or be plastic surgeons with expertise in plastic surgery of the breast. The standard practice procedures that will be funded through the contract are: — double incision technique, — Peri-Areolar Technique, — liposuction for the purpose of masculinising chest surgery, — nipple re-positioning techniques, including pedicled flaps, — free, full-thickness nipple grafting, — modification of the nipple-areolar complex, — dermal implant and nipple tattoo. For the avoidance of doubt, feminising breast augmentation will not be funded through the contract. The standard practice procedures that will be provided for and funded by the contract consist of some or all of the following: — penectomy, — bilateral orchidectomy, — vaginoplasty (various techniques), — clitoroplasty, — vulvoplasty, — penectomy and orchidectomy — when they are performed simultaneously with the surgical interventions referred to above. The standard practice procedures to be provided and funded by the contract are: — phalloplasty (various types), — metoidioplasty (with/without urethroplasty; with/without scrotoplasty), — post-operative training in penile prosthesis use. Funded only in conjunction with the above pathways: — hysterectomy, — bilateral Salpingo-oophorectomy, — vaginectomy, — placement of penile prosthesis (various types), — placement of testicular prosthesis (various types), — glans sculpting.